Madison Max is a Counselor based in Chicago, IL. Madison Max practices in Chicago, IL. The NPI Number for Madison Max is 1144988890 and holds a License No. 178016225 (Illinois).
The current practice location address for Madison Max is 3808 N Ashland Ave, Chicago, IL and can be reached out via phone at 312-217-5887.
Location: 3808 N Ashland Ave, Chicago, IL, 60613-5382
Provider Profile Details
NPI Number
1144988890
Provider Name
Madison Max
Credential
Provider Entity Type
Individual
Gender
Female
Address
3808 N Ashland Ave, Chicago, IL, 60613-5382
Phone Number
312-217-5887
Fax Number
Provider Enumeration Date
11/30/2021
Last Update Date
04/14/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 474726722 | 01 | IL | PRIVATE INSURANCE |
Provider Business Practice Location Address Details
Address
3808 N Ashland Ave
City
State
Zip
60613-5382
Phone Number
312-217-5887
Fax Number
Provider Business Mailing Address Details
Address
3808 N Ashland Ave
City
State
Zip
60613-5382
Phone Number
312-217-5887
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
178016225 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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